scholarly journals The use of eHealth to promote physical activity in people with mental health conditions: a systematic review

2018 ◽  
Vol 1 ◽  
pp. 5 ◽  
Author(s):  
Jonathan Moran ◽  
Grainne Kelly ◽  
Ciarán Haberlin ◽  
David Mockler ◽  
Julie Broderick

Background: Achieving adequate amounts of physical activity (PA) confers important physical and mental health benefits. Despite this, people with mental health conditions often do not meet recommended levels of PA. eHealth, the delivery of health information through internet and mobile technologies, is an emerging concept in healthcare which presents opportunities to improve PA. The aim of this systematic review is to describe the use of eHealth to increase or monitor PA levels in people with mental health conditions. Methods: Databases searched included OVID Medline, EMBASE, PsychInfo and Web of Science using a combination of key-words and medical subject headings. Articles were included if they described an eHealth technology designed to improve or monitor PA in people with mental health conditions. Two reviewers screened articles. Articles included in the qualitative synthesis were screened for risk of bias using the Cochrane Risk of Bias Tool for experimental studies and Downs and Black Checklist for non-experimental studies. Results: Seven studies met the eligibility criteria. A variety of eHealth platforms designed to promote or monitor PA were described in these studies; web-based (n=4), web and mobile application (n=3) and e-mail-based (n=1), one study used both a web-based and mobile application. Three studies reported eHealth interventions significantly increased PA levels, however it is unclear if eHealth interventions are superior at promoting PA compared to conventional interventions. Four studies reported that higher levels of PA, measured using eHealth, were associated with better mental health profiles.  Conclusion: eHealth interventions may be an innovative low-cost method to increase PA levels which may have knock-on effects on mental health outcomes. Although some of the included studies in this review demonstrated promising results, methodological restrictions and potential biases from using subjective measures of PA limit the interpretability of these results. Future research should evaluate this promising technology using well-designed trials.

2018 ◽  
Vol 1 ◽  
pp. 5 ◽  
Author(s):  
Jonathan Moran ◽  
Grainne Kelly ◽  
Ciarán Haberlin ◽  
David Mockler ◽  
Julie Broderick

Background: Achieving adequate amounts of physical activity (PA) confers important physical and mental health benefits. Despite this, people with mental health conditions often do not meet recommended levels of PA. eHealth, the delivery of health information through internet and mobile technologies, is an emerging concept in healthcare which presents opportunities to improve PA. The aim of this systematic review is to describe the use of eHealth to increase or monitor PA levels in people with mental health conditions. Methods: Databases searched included OVID Medline, EMBASE, PsychInfo and Web of Science using a combination of key-words and medical subject headings. Articles were included if they described an eHealth technology designed to improve or monitor PA in people with mental health conditions. Two reviewers screened articles. Articles included in the qualitative synthesis were screened for risk of bias using the Cochrane Risk of Bias Tool for experimental studies and Downs and Black Checklist for non-experimental studies. Results: Seven studies met the eligibility criteria. A variety of eHealth platforms designed to promote or monitor PA were described in these studies; web-based (n=4), web and mobile application (n=3) and e-mail-based (n=1), one study used both a web-based and mobile application. Three studies reported eHealth interventions significantly increased PA levels, however it is unclear if eHealth interventions are superior at promoting PA compared to conventional interventions. Four studies reported that higher levels of PA, measured using eHealth, were associated with better mental health profiles.  Conclusion: eHealth interventions may be an innovative low-cost method to increase PA levels which may have knock-on effects on mental health outcomes. Although some of the included studies in this review demonstrated promising results, methodological restrictions and potential biases from using subjective measures of PA limit the interpretability of these results. Future research should evaluate this promising technology using well-designed trials.


2018 ◽  
Vol 1 ◽  
pp. 5
Author(s):  
Jonathan Moran ◽  
Grainne Kelly ◽  
Ciarán Haberlin ◽  
David Mockler ◽  
Julie Broderick

Background: Achieving adequate amounts of physical activity (PA) confers important physical and mental health benefits. Despite this, individuals with mental health conditions often do not meet recommended levels of PA. eHealth, the delivery of health information through internet and mobile technologies, is an emerging concept in healthcare which presents opportunities to improve PA in people with mental conditions. The aim of this systematic review is to explore if eHealth interventions increase PA levels among individuals with mental health conditions. Methods: Databases searched included OVID Medline, EMBASE, PsychInfo and Web of Science using a combination of key-words and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in individuals with mental health conditions. Two reviewers screened articles for inclusion. Results: In total 2,994 articles were identified. Seven studies met the eligibility criteria. A variety of eHealth platforms designed to increase PA were described in these studies; web-based (n=4), web and mobile application (n=3) and e-mail-based (n=1), one study used both a web-based and mobile application. Three studies reported eHealth intervention significantly increased PA levels. Four studies reported that higher levels of PA resulted in improvements in mental health outcomes.  Conclusion: eHealth interventions may be an innovative low cost method to increase PA levels which may have knock-on effects on mental health outcomes. Although some of the included studies in this review demonstrated promising results, methodological restrictions and potential biases from using subjective measures of PA limit the interpretability of these results.  Future research should evaluate this nascent technology using well designed trials.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Natasha Lyons ◽  
Chris Cooper ◽  
Brynmor Lloyd-Evans

Abstract Background Peer support is being integrated within mental health services to further the development of a recovery approach. However, the most effective models and formats of intervention delivery are unknown. We conducted this systematic review and meta-analysis to determine the effectiveness of peer support for improving outcomes for people with lived experience of mental health conditions, when delivered as group interventions. Methods Studies reporting randomised controlled trials of group peer support interventions for people experiencing mental health conditions were identified by searching MEDLINE, PsycINFO, Embase and Cochrane CENTRAL, from inception until July 12th 2019 and undertaking supplementary searches. Included studies were assessed for risk of bias and meta-analyses were conducted if three or more trials provided usable data. Results Eight trials met eligibility criteria, providing data from 2131 participants. Six trials had either high or unclear risk of bias. Interventions were categorised as mutual support groups, or peer support groups, sub-categorised as anti-stigma or self-management interventions. Meta-analyses were only possible for peer support groups and five outcomes. We found evidence that group peer support may make small improvements to overall recovery but not hope or empowerment individually, or to clinical symptoms. Evidence for effectiveness for outcomes which could not be meta-analysed was mixed. Conclusions Findings from the few eligible trials suggest group peer support interventions may be specifically effective for supporting personal recovery and have a limited impact on other outcomes, though there were some risks of bias to study findings. Interventions were heterogeneous and most social outcomes were absent in the literature, highlighting further limitations to the current evidence-base. There is insufficient evidence available from trials of group peer support torecommend the routine implementation of these interventions across mainstream mental health services at present. More high-quality trials of peer-developed, group peer support interventions are needed in order tomake firm conclusions about intervention effectiveness.


2017 ◽  
Vol 2 (4) ◽  

Assistive mobile technologies are highly demanded in order to reduce care givers effort with low cost/free programs. In this context, and due to the aging/ mental health disorders, memory loss and the change in the interaction between cognitive disability and mental health conditions, using mobile mental health assistive applications would improve the employees’ performance. Hence, assistive mobile technology can be used to support people with mental health conditions to stay in their jobs and improve their productivity, in addition to assist remembering daily activities, order and organize them according to place and emotions. Emotion detection based mobile technologies are recently considered a revolution in building assistive mobile applications. This article introduces a Bio-reminder mobile application that will remind the person with his/her tasks based on matching with their biometrics associated with the given task. Biometrics includes heart rate monitoring measured by biosensors. In this paper, the proposed mobile application uses Fitbit to measure heart rate, calories burned in addition to GPS to report the location


Author(s):  
Mandeep Sekhon ◽  
Claire White ◽  
Emma Godfrey ◽  
Aliya Amirova ◽  
Åsa Revenäs ◽  
...  

Abstract Objective The aim of this systematic review was to assess the evidence from randomised controlled trials (RCT) and cohort studies for the effectiveness of digital interventions designed to enhance adherence to physical activity (PA) for people with inflammatory arthritis (IA) and describe the intervention content using established coding criteria. Methods Six electronic databases were searched for published and unpublished studies. Independent data extraction and quality assessment (Cochrane risk of bias II or ROBIN I) were conducted by two reviewers. The primary outcome was self-reported adherence to PA post-intervention. Secondary outcomes included self-reported adherence to PA at other timepoints, level of PA or engagement with intervention at any follow-up timepoint. Intervention content was assessed using the Consensus on Exercise Reporting Template and the Behaviour Change Techniques taxonomy version 1. Results From 11,136 reports, four moderate risk of bias studies (three RCTs, one cohort study) including 1,160 participants with rheumatoid arthritis or juvenile inflammatory arthritis were identified. Due to heterogeneity of outcomes, a narrative synthesis was conducted. Only one RCT reported a small between group difference in adherence to PA [mean difference (95% confidence intervals) -0.46 (-0.82. -0.09)] in favour of the intervention. There were no between group differences in any secondary outcomes. Interventions included between 3–11 behaviour change techniques but provided minimal exercise prescription information. Conclusion There is currently limited moderate quality evidence available to confidently evaluate the effect of web-based and mobile health interventions on adherence to PA or level of PA post intervention in people with IA.


2021 ◽  
pp. 002076402098857
Author(s):  
Massimiliano Aragona ◽  
Maria Cristina Tumiati ◽  
Federica Ferrari ◽  
Sonia Viale ◽  
Gianluca Nicolella ◽  
...  

Background: The effects of Sars-Cov-2 pandemic may increase vulnerability of migrants. Aims: To investigate the effects of the governmental lockdown on the mental health of vulnerable migrants in treatment at an outpatient department. Method: In a telephone survey post-migration living difficulties and psychopathological symptoms were investigated, particularly post-traumatic thoughts and nightmares, anxiety, depression, feelings of tension and irritability, other sleep problems, as well as COVID-19 related fears. Psychopathological changes during the lockdown were detected and rated by clinicians. Rates of treatment discontinuation and reasons why were also recorded. Results: Of 103 eligible patients, 81 answered the phone call and were included in the study. Mental symptoms were frequent but not as severe as expected. About 32% of patients in psychopharmacological treatment and almost 52% of patients in psychotherapy had discontinued treatment. Patients who were globally considered to have worsened if compared to their pre-coronavirus mental health conditions had in fact higher scores on several mental symptoms but mild specific fears about coronavirus issues, similar to those of patients improved or stable. Worsening was significantly associated with unemployment, lack of VISA, and treatment discontinuation. Shifting the way of providing psychotherapy into a web-based modality was significantly more frequent in stable/improved patients. Conclusion: Findings suggest that concrete life problems and treatment discontinuation more than the coronavirus fear, have predominantly affected the mental health conditions of our patients.


2018 ◽  
Vol 18 (5) ◽  
pp. 505-517 ◽  
Author(s):  
Jaya S. Khushalani ◽  
Jin Qin ◽  
John Cyrus ◽  
Natasha Buchanan Lunsford ◽  
Sun Hee Rim ◽  
...  

2020 ◽  
Vol 47 (6) ◽  
pp. 688-711
Author(s):  
Karolina Sörman ◽  
Jennifer Cox ◽  
Charlotte Eklund Rimsten ◽  
Marissa Stanziani ◽  
Claes Lernestedt ◽  
...  

Perceptions of mental health conditions influence how individuals with psychiatric diagnoses are treated within the community, in the legal system, and at different institutions. We examined perceptions of mental health conditions among lay judges ( N = 643), working at district and appellate courts throughout Sweden. Participants read a web-based survey including a crime vignette in which the person charged with a crime was described as having schizophrenia ( n = 186), antisocial personality disorder (ASPD) with psychopathic traits ( n = 219), or intellectual disability ( n = 238). Participants’ perceptions of schizophrenia were largely in line with Swedish legislation regarding the medicolegal concept of severe mental disturbance (SMD). Findings were more varied for the other two conditions, however. Perceptions of individuals with ASPD with psychopathic traits were not consistent with the Swedish SMD legislation. The results highlight the complexity of legislation addressing mental illness and criminality.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Cheryl L. Currie ◽  
Richard Larouche ◽  
M. Lauren Voss ◽  
Erin K. Higa ◽  
Rae Spiwak ◽  
...  

Abstract Background COVID-19 has resulted in an increased demand for eHealth services globally. There is emerging evidence for the efficacy for group eHealth interventions that support population-based mental health and wellbeing, but a systematic review is lacking. The primary objective of this systematic review is to summarize the evidence for eHealth group counseling and coaching programs for adults. A second objective is to assess, within studies selected for our primary objective, the impact of programs that encourage PA on outcomes compared to those that do not. Methods Randomized controlled trials that assess the impact of eHealth group counseling or coaching programs on mental health, health behavior, or physical health activity among community-dwelling adults will be included. We will search the following electronic databases (from January 2005 onwards): MEDLINE, PsycINFO, CINHAL, and the Central Register of Controlled Trials. The primary outcomes will be changes in mental health conditions (e.g., depression, anxiety, stress, quality of life), behavioral health conditions (e.g., substance use, smoking, sexual behavior, eating behavior, medication adherence), and physical health conditions (e.g., coping with cancer, menopausal symptoms, arthritis pain). Secondary outcomes will be changes in physical activity. Two reviewers will independently screen all citations, full-text articles, and abstract data. Potential conflicts will be resolved through discussion with a third reviewer. A narrative synthesis without meta-analysis will be conducted. The strength of the body of evidence will be assessed using GRADE. The risk of bias in individual studies will be appraised using the Cochrane Risk of Bias 2.0 tool. Potential sources of gender bias in included studies will be considered at all stages of the planned review. Discussion This review will contribute to the literature by providing evidence on the effectiveness of eHealth counseling and coaching programs delivered to adults in a group format. Systematic review registration The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO: CRD42020187551).


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